Nursing 1160A/B Study Guide - Final Guide: Health Promotion, Respiratory Sounds, Oatmeal

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Abct + mmse/minicog: appearance, behaviour, cognitive function, thought process: behaviour: eye contact, speech, facial expressions, cognitive function: orientation, attention span, memory, judgment (safety concerns, thought process: understandable, logical and rational, coherent, relevant. Dementia: slow, subtle process resulting in progressive loss of cognitive. Depression: chemical imbalance enhanced by psychosocial factors. Fast (how to spot a stroke: face dropping, arm weakness, speech difficulty, time to call 911. Spontaneous: enter the room and pt. wakes up. Usual voice: state pt. name and ask him or her to open her eyes. Loud voice: only if no response to usual voice. Tactile: touch pt. shoulder or arm lightly. Noxious stimulation (pain): nail pressure but tell pt first. Cultural considerations: no difference racially, but size matters. Diffusion and perfusion: indirectly by spo2 monitor, 92-100% is expected, directly by arterial blood gases directly from artery, 95%-100% expected. Ventilation by rate, rhythm, depth, and effort. Hemoglobin: women= 115-160 [periods, men= 135-170 [testosterone]